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NPI Code Detail

MEDICARE: FHTEACHIA MICHELLE ANDREWS ARNP, NP-C

MEDICARE: FHTEACHIA MICHELLE ANDREWS ARNP, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP9454635FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner404869NY
3363L00000XNurse Practitioner9454635FL
4363LF0000XFamily Nurse Practitioner26NJ00496800NJ
5363LF0000XFamily Nurse PractitionerARNP 9454635FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1JDVTAOTHERFLFLORIDA BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366854598
Entity Type Code : Individual
Provider Name (Legal Business Name) : FHTEACHIA MICHELLE ANDREWS ARNP, NP-C
Provider Business Mailing Address
First Line : 9 OLD KINGS RD N STE 123
Second Line :
City : PALM COAST
State : FL
Zip : 32137-4603
Country : US
Telephone Number : 386-680-0016
Fax Number :
Provider Business Practice Location Address
First Line : 1 WHITE FOX PL
Second Line :
City : PALM COAST
State : FL
Zip : 32164-7237
Country : US
Telephone Number : 386-680-0016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2014
Last Update Date : 02/14/2026

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